<div class="page-header">
                    <div class="icon">
                        <span class="ico-dollar"></span>
                    </div>
                    <h1>Solicitud de Recarga<small>PEDIR RECARGA</small></h1>
</div>
<div class="row-fluid">
    <div class="span8">
    <div class="block">
                            <div class="head">                                
                                <h2>Solicita</h2>
                                                                 
                            </div>                                        
                            <div class="data-fluid">
                                <?php echo $this->Form->create('Pedido');?>
                                <div class="row-form">
                                    <div class="span3">Monto:</div>
                                    <div class="span9"><?php echo $this->Form->text('monto_solicitado',array('placeholder' => '0.00'));?></div>
                                </div>
                                
                                <div class="row-form">
                                <?php echo $this->Form->submit('Solicitar Recarga',array('class' => 'btn btn-success"'));?>
                                <?php echo $this->Form->end();?> 
                                </div>
                                                       
                            </div>
    </div>
    </div>
</div>